Jejunoileal atresia: a case-series of 63 neonates and risk factors to mortality
Saleem, M., Liaqat, N., Butt, J., Hashim, I., Iqbal, A., Raza, A., Urooj, A. (2022). Jejunoileal atresia: a case-series of 63 neonates and risk factors to mortality. EKB Journal Management System, 18(1), -. doi: 10.1186/s43159-021-00147-y
Muhammad Saleem; Naeem Liaqat; Jamal Butt; Imran Hashim; Asif Iqbal; Asim Raza; Atika Urooj. "Jejunoileal atresia: a case-series of 63 neonates and risk factors to mortality". EKB Journal Management System, 18, 1, 2022, -. doi: 10.1186/s43159-021-00147-y
Saleem, M., Liaqat, N., Butt, J., Hashim, I., Iqbal, A., Raza, A., Urooj, A. (2022). 'Jejunoileal atresia: a case-series of 63 neonates and risk factors to mortality', EKB Journal Management System, 18(1), pp. -. doi: 10.1186/s43159-021-00147-y
Saleem, M., Liaqat, N., Butt, J., Hashim, I., Iqbal, A., Raza, A., Urooj, A. Jejunoileal atresia: a case-series of 63 neonates and risk factors to mortality. EKB Journal Management System, 2022; 18(1): -. doi: 10.1186/s43159-021-00147-y

Jejunoileal atresia: a case-series of 63 neonates and risk factors to mortality

Annals of Pediatric Surgery
Volume 18, Issue 1, January 2022  XML PDF (746.68 K)
DOI: 10.1186/s43159-021-00147-y
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Authors
Muhammad Saleem; Naeem Liaqat email orcid ; Jamal Butt; Imran Hashim; Asif Iqbal; Asim Raza; Atika Urooj
Abstract
Introduction
Jejunoileal atresia (JIA) among neonates is still a condition which has huge morbidity and mortality, particularly in the developing world. We share a case series of JIA in context of their presentation, management, and outcome.
Materials and methods
This study was conducted at Children’s Hospital and Institute of Child Health, Lahore, over 1 year. We included all patients presenting with JIA, and their demographic details, presentation, investigations, treatment strategies, and the outcome were noted at a pre-designed proforma. All data were analyzed using SPSS version 26.
Results
A total of 63 neonates with JIA were included. Most of them (79.4%) presented after 48 h of life, and the mean age at presentation was 5.68 ± 4.75 days. There were 37 male patients (58.7%), and 51 (81%) were full-term. The most common presenting complaint was not being able to pass meconium (88.9%). Type III atresia was the most common subtype (41.3%). Most of them underwent resection without tapering. The mean hospital stay was 12.81 ± 6.53, and it was significantly longer among those who underwent re-exploration ( = 0.034). Twenty-three patients (36.5%) expired within 6 months of follow-up. The only significant factor for mortality was the presence of short bowel syndrome ( = 0.030). All other demographic and management factors did not alter the mortality rate.
Conclusion
Management of surgical neonates is a difficult job in developing countries with limited resources. There is a high mortality rate of neonates following JIA surgeries, and surgeons in these countries must fight on many fronts to improve the outcome.
Keywords
Neonates; intestinal; Jejunal atresia; Ileal atresia; Pakistan
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